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健康人体颞下颌关节中的髁突旋转与前移位

Condylar rotation and anterior translation in healthy human temporomandibular joints.

作者信息

Salaorni C, Palla S

机构信息

Abteilung für Kaufunktionsstörungen und Totalprothetik, Zahnärztliches Institut, Universität Zürich.

出版信息

Schweiz Monatsschr Zahnmed. 1994;104(4):415-22.

PMID:8209212
Abstract

Mouth opening is achieved by a combined rotatory and translatory movement of the disc-condyle complex within the fossa. The aim of this investigation was to analyse the relationship between condylar rotation and anterior condylar translation during deliberate opening and closing movements. Three consecutive opening and closing movements were recorded by means of the opto-electronic system Jaws-3D in 61 individuals (28 females and 33 males), aged 12 to 76 years, without a past or present history of myoarthropathies of the masticatory system. The computer provided the numeric values as well as the plots of the movement of an intracondylar point in three planes and of the relationship between condylar rotation (opening angle, OA) and anterior translation (AT). The OA/AT curves were also analysed visually for differences in shape. A marked inter- and intraindividual (left/right) variability was found for the ratio between opening angle and anterior condylar translation. Visual analysis of the OA/AT curves allowed them to be classified into five main groups. The groups differed statistically with respect to maximum opening angle and maximum mouth opening. The two groups with a more pronounced rotatory component at the end of opening had a significantly larger mouth opening than most of the other groups.

摘要

张口是通过关节盘 - 髁突复合体在关节窝内的旋转和平移运动共同实现的。本研究的目的是分析在有意识的张闭口运动过程中髁突旋转与髁突向前平移之间的关系。利用Jaws - 3D光电系统记录了61名个体(28名女性和33名男性)连续的三次张闭口运动,这些个体年龄在12至76岁之间,既往和目前均无咀嚼系统肌关节病病史。计算机提供了髁突内一点在三个平面上运动的数值以及髁突旋转(开口角度,OA)与向前平移(AT)之间关系的图表。还对OA/AT曲线的形状差异进行了视觉分析。发现开口角度与髁突向前平移的比率在个体间和个体内(左右)存在显著差异。对OA/AT曲线的视觉分析使其可分为五个主要组。这些组在最大开口角度和最大张口度方面存在统计学差异。在开口末期具有更明显旋转成分的两组的张口度明显大于其他大多数组。

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